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1568827111
DOMINIC MATTHIAS DOUGHERTY
LONG BEACH, CA
NPI
1568827111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-28
Last Update Date
2015-12-28
Business Address
-- DOMINIC MATTHIAS DOUGHERTY
1955 LONG BEACH BLVD
LONG BEACH, CA 90806-5501
Phone number: 562-591-1340
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Mailing Address
-- DOMINIC MATTHIAS DOUGHERTY
1955 LONG BEACH BLVD
LONG BEACH, CA 90806-5501
Phone number: 562-591-1340
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